NPI | 1306032925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP06016) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 739805) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2015-06-15 |